肖紅玉　鐘紅華

[摘要] 目的 觀察圍手術(shù)期護理干預(yù)在糖尿病老年患者行人工髖關(guān)節(jié)置換術(shù)中的護理效果及影響。方法 2017年2月—2019年3月間納入該院行人工髖關(guān)節(jié)置換術(shù)的老年糖尿病患者共74例為護理研究對象，開展回顧性分析，將其分為對照組與干預(yù)組，各組均為37例。對照組接受常規(guī)圍手術(shù)期護理，干預(yù)組接受圍手術(shù)期護理干預(yù)。對比兩組手術(shù)前后血糖指標變化、髖關(guān)節(jié)功能評分變化，術(shù)后恢復(fù)指標及手術(shù)并發(fā)癥情況。結(jié)果 血糖指標及髖關(guān)節(jié)功能評分術(shù)前檢驗、測評結(jié)果組間對比差異無統(tǒng)計學(xué)意義（P>0.05）。術(shù)后，干預(yù)組血糖指標、髖關(guān)節(jié)功能評分、術(shù)后恢復(fù)指標均明顯優(yōu)于干預(yù)組，干預(yù)組手術(shù)并發(fā)癥率低于對照組（P<0.05）。結(jié)論 圍手術(shù)期護理干預(yù)的應(yīng)用，可實現(xiàn)對糖尿病老年患者血糖變化及髖關(guān)節(jié)置換術(shù)預(yù)后效果的有效改善，護理效果顯著。

[關(guān)鍵詞] 人工髖關(guān)節(jié)置換術(shù);圍手術(shù)期護理干預(yù);護理效果

[中圖分類號] R47? ? ? ? ? [文獻標識碼] A? ? ? ? ? [文章編號] 1672-4062（2020）02（b）-0153-03

[Abstract] Objective To observe the nursing effect and influence of perioperative nursing intervention on artificial hip joint replacement in elderly patients with diabetes. Methods From February 2017 to MaA total of 74 elderly diabetic patients who underwent artificial hip arthroplasty in our hospital were the nursing research subjects. A retrospective analysis was performed and they were divided into the control group and the intervention group， with 37 cases in each group. The control group received routine perioperative nursing， and the intervention group received perioperative nursing intervention. The changes of blood glucose index， hip function score， postoperative recovery index and surgical complications were compared between the two groups. Results There were no statistically significant differences in blood glucose indexes and hip function scores between preoperative tests and evaluation groups（P>0.05）. Postoperatively， the blood glucose index， hip function score， and postoperative recovery index of the intervention group were significantly better than those of the intervention group， and the complication rate of the intervention group was lower than that of the control group （P<0.05）. Conclusion The application of perioperative nursing intervention can effectively improve the blood glucose change and prognosis of hip replacement in elderly patients with diabetes， and the nursing effect is significant.

[Key words] Artificial hip replacement; Perioperative nursing intervention; Nursing effect

糖尿病作為臨床常見的手術(shù)合并癥，患者血糖的變化對手術(shù)時間安排及手術(shù)效果均具有顯著影響，特別是對于人工髖關(guān)節(jié)置管術(shù)手術(shù)類型而言，血糖指標異常對患者術(shù)后創(chuàng)傷愈合、機體感染抵御機能等均具有明顯不良影響，而糖尿病老年患者自身血糖水平較高且免疫機能較差，故其在人工髖關(guān)節(jié)置換術(shù)后的感染風(fēng)險較為明顯，故不僅需在術(shù)前做好對糖尿病手術(shù)患者血糖的糾正治療，還需通過圍手術(shù)期護理干預(yù)方式的合理選取，實現(xiàn)對其血糖穩(wěn)定性及手術(shù)安全性的有效維護[1-2]。護理干預(yù)作為基于醫(yī)學(xué)理論學(xué)科而發(fā)展形成的護理干預(yù)措施，可通過相應(yīng)護理措施的開展，實現(xiàn)對患者手術(shù)預(yù)后并發(fā)癥的有效預(yù)防，且在臨床中具有較為廣泛的應(yīng)用。因此，為觀察圍手術(shù)期護理干預(yù)在糖尿病老年患者行人工髖關(guān)節(jié)置換術(shù)中的護理效果及影響，特開展該次研究，現(xiàn)分析2017年2月—2019年3月間在該院行人工髖關(guān)節(jié)置換術(shù)的老年糖尿病患者74例的臨床資料，報道如下。

1? 資料與方法